Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.62 / $782.21 / $14,482.00	Facility		$480.62	$782.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $480.62 / $782.21	Professional		$264.70	$480.62	$782.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.27 / $930.18 / $2,320.26	Professional		$379.27	$930.18	$2,320.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $984.92 / $1,150.96 / $1,856.46	Facility		$984.92	$1,150.96	$1,856.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.53 / $1,180.33 / $1,578.30	Professional		$660.53	$1,180.33	$1,578.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $382.42 / $530.98 / $762.86	Facility		$382.42	$530.98	$762.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $434.77 / $7,251.10 / $12,631.00	Facility		$434.77	$7,251.10	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.32 / $1,258.65 / $2,124.75	Professional		$451.32	$1,258.65	$2,124.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $395.50 / $890.43	Professional		$76.54	$395.50	$890.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $382.42 / $530.98 / $762.86	Facility		$382.42	$530.98	$762.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $773.50 / $1,194.40 / $1,586.91	Professional		$773.50	$1,194.40	$1,586.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,082.10 / $11,082.10 / $11,082.10	Facility		$11,082.10	$11,082.10	$11,082.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $677.56 / $1,880.50 / $2,878.64	Professional		$677.56	$1,880.50	$2,878.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,974.65 / $1,974.65 / $1,974.65	Professional		$1,974.65	$1,974.65	$1,974.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,644.96 / $2,644.96 / $2,644.96	Professional		$2,644.96	$2,644.96	$2,644.96
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.10 / $1,252.08 / $1,855.36	Professional		$451.10	$1,252.08	$1,855.36